Effect of comprehensive management combined with cognitive intervention on patient cooperation and complications during digestive endoscopy.

BACKGROUND

As lifestyles continue to change worldwide, the incidence of digestive tract carcinoma has gradually increased. Digestive endoscopy is an important tool that can assist in the diagnosis, treatment, and surgical intervention for this disease. However, the examination process is affected by many factors, and patient cooperation is often poor, which can increase the risk of complications.

AIM

To explore the effects of integrated management and cognitive intervention on cooperation and complications in patients undergoing endoscopy for early gastrointestinal neoplasms.

METHODS

A total of 354 patients with early stage gastrointestinal cancer who underwent digestive endoscopy procedures between January and December 2023 at our hospital were divided into observation and control groups (177 patients in each group) in a randomized controlled blind trial. The control group received routine interventions, while the observation group received comprehensive integrated management combined with cognitive interventions. We compared the changes in adverse mood, discomfort, examination time, cooperation with the examination, and complications before and after the intervention between the two groups.

RESULTS

The self-rated anxiety and depression scale scores were lower in the observation group than in the control group ( < 0.05). The visual analog scale scores for discomfort during intubation and examination were also lower in the observation group than in the control group ( < 0.05). Furthermore, the examination time was shorter in the observation group than in the control group ( < 0.05), and the degree of cooperation (94.35%) was higher in the observation group than in the control group (84.75%; < 0.05). Lastly, the incidence rates of gastrointestinal adverse reactions (10.17% 20.34%), choking agitation (14.69% 24.86%), abdominal pain (8.47% 18.08%), and muscle tension (5.08% 14.12%) were all lower in the observation group than in the control group ( < 0.05).

CONCLUSION

Integrated management and cognitive intervention in early gastrointestinal neoplasm endoscopy alleviate mood, reduce discomfort, shorten examinations, improve cooperation, and reduce complications.